Health Equity, Schooling Hesitancy, and the Social Determinants of Learning.
Health Equity, Schooling Hesitancy, and the Social Determinants of Learning.
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DOI：
10.1016/j.lana.2021.100032
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发表时间：
2021-10
期刊：
影响因子：
--
通讯作者：
Allen, Joseph G.
中科院分区：
文献类型：
--
作者：
Levinson, Meira;Geller, Alan C.;Allen, Joseph G.
关键词：
由于COVID-19大流行，北美至少有6200万K-12学生——不成比例的低收入有色人种儿童——已经失学一年多了。这些孩子现在和长期都面临着严重的学业、社会、精神和身体伤害的风险。我们回顾了有关学校安全的文献，以及影响家庭和教师选择回归面对面教育的条件。在美国，即使学校可以安全地重新开放，我们也确定了四个原因：高社区传播率；学校重新开放的政治化；市区长期种族化的撤资；以及父母对健康的社会决定因素导致的家庭脆弱性的理性计算。考虑到健康和学习的社会决定因素之间以及上学犹豫不决和社区脆弱性之间的深刻相互联系，面对面上学机会和接受教育方面的严重不平等现象可能会持续下去。我们建议学区投资于以科学为基础的设施升级，增加护理和咨询人员，并为学校作为儿科疫苗接种点做好准备。学区还应该通过花时间谦卑地倾听家长和老师的担忧，将公共卫生方面关于解决疫苗犹豫问题的经验教训应用到上学犹豫的挑战中。
At least 62 million K-12 students in North America—disproportionately low-income children of color— have been physically out of school for over a year due to the COVID-19 pandemic. These children are at risk of significant academic, social, mental, and physical harm now and in the long-term. We review the literature about school safety and the conditions that shape families’ and teachers’ choices to return to in-person schooling. We identify four causes of schooling hesitancy in the U.S. even where schools can be safely reopened: high community transmission rates; the politicization of school re-openings; long-term racialized disinvestment in urban districts; and parents’ rational calculations about their family's vulnerability due to the social determinants of health. Given the deep interconnections between the social determinants of health and of learning, and between schooling hesitancy and community vulnerability, stark inequities in in-person schooling access and take-up are likely to persist. We recommend that school districts invest in scientifically-based facilities upgrades, increased nursing and counseling staffing, and preparation for schools to serve as pediatric vaccination sites. School districts should also apply lessons from public health about addressing vaccine hesitancy to the challenge of schooling hesitancy by investing time in humble listening to parents and teachers about their concerns.
影响因子：
3.3
作者：
Braveman, Paula;Gottlieb, Laura
通讯作者：
Gottlieb, Laura